• With: Dr. Ezekiel Emanuel

    This is a rush transcript from "The Kelly File," November 13, 2013. This copy may not be in its final form and may be updated.

    MEGYN KELLY, HOST: Back with me tonight, Dr. Ezekiel Emanuel, vice provost of the University of Pennsylvania, and he also served a special advisor for Health Policy to the director of the White House and Office of Management and Budget.

    He's also the author of "Brothers Emanuel; A Memoir of an American Family." And his brother as you may know is the mayor of Chicago Rahm Emanuel, who is also at one time President Obama's chief of staff. Doctor, it's great to see you again.

    So now we have more information, and your reaction to the latest numbers out tonight is what?

    DR. EZEKIEL EMANUEL, VICE PROVOST, UNIVERSITY OF PENNSYLVANIA: Well, I think they are disappointing. I think it's not that confusing given the fact that the website wasn't working. And the publicity campaign to make people aware of it and what to do was put on hold until the website begins to work reasonably well.

    So, I'm not that surprised. Remember, we have four-and-a-half months from today to get to the end of the open enrollment period. And it's the end of the open enrollment period which is fine. This is like watching a teakettle and saying, is it boiling yet? Is it boiling yet? And that's not very helpful.

    KELLY: It's very concerning, but let me show you the number.

    EMANEUL: I have -- can you give me a chance?

    KELLY: I gave you a chance. Let's have a question and answer. The interview works better that way. Five million people have already been canceled. So I'm not talking about the 7 million who you guys wanted to sign up --

    EMANUEL: That's not a reliable number.

    KELLY: It's at least 3 million.

    EMANUEL: Not reliable.

    KELLY: And the reports out tonight that it's 5 million people who have been canceled --

    EMANUEL: Only on Fox is it 5 million.

    KELLY: OK, fine. So let's go with 3 million. You can deny the problem while you want, sir, but the data is out there.

    EMANUEL: No.

    KELLY: It's 5 million people tonight by our numbers.

    If that's the case -- can we put the full screen back on the board? Then you need 156,000 people to sign up every day for the next 32 days just to break even. That's not even talking about the 7 million you needed from the get-go to make ObamaCare work.

    EMANUEL: No, that's not right, Megyn. You've got the numbers wrong. Seven million includes the people who were expected from the individual market to come on as well. So it's not just seven million and the number from the individual market. That's the first point.

    The second point is, you have to remember in the individual market before ObamaCare the insurance companies were cancelling people all the time. That's one of the reasons we wanted the exchanges to work. I agree with you. Without the exchanges working this cancellation policy is worrisome. It was worrisome before ObamaCare. It is worrisome today. The key thing is to get the exchanges working, get the website working so those people have a place to go where they will get better insurance at a reasonable rate overall.

    KELLY: There is a lot in your answer. First are you admitting it was foreseen that the individual insurance market would essentially collapse and that was a key facet of ObamaCare working?

    EMANUEL: It's not a matter of foreseeing. The insurance companies always cancel policies. They did it before.

    KELLY: It is a matter. That's spin. You know as well as I do that the mass cancellations we have seen are hurting a lot of Americans. They are very upset and their relationship with their doctor has been severed as a result of coverage in many instances --

    EMANUEL: Ms. Kelly, you don't seem to remember --

    KELLY: You keep down playing it, sir, but it's happened. Now you say foresee-ability is irrelevant. It is relevant. They want to know if you knew!

    EMANUEL: Maybe if you would stop yelling at me --

    KELLY: Did you or didn't you?

    EMANUEL: You don't see that before ObamaCare those kind of cancellations happened all the time. You never covered them? They were very common.

    KELLY: So to you the two things are totally disconnected?

    EMANUEL: You keep interrupting. Isn't there any manners here?

    KELLY: Sir, it's a back and forth. I'm not giving you the platform for a soliloquy. Are you saying the things are unrelated? ObamaCare and the 5 million -- pick your number -- of cancelations in the individual market are totally unrelated?

    EMANUEL: No. I'm saying, look, the insurance industry was not forced to cancel anyone. They canceled people before. They see the individual market as going away and they are getting out of it.

    KELLY: I will give you that point for the purpose of the discussion. I will go with you on that. Say that's the case.

    EMANUEL: Good.

    KELLY: Did you foresee that happening?

    EMANUEL: I think when you change the market, things change.

    KELLY: That's not an answer.

    EMANUEL: Yes, it is.

    KELLY: Did you foresee it?